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Legend Oaks Healthcare and Rehabilitation - Fort Wellness

All states › Texas › Keller › Legend Oaks Healthcare and Rehabilitation - Fort Wellness

4240 Golden Triangle Boulevard Keller, TX 76244 · Tarrant County

(817) 806-6400

All 3 nursing homes in Keller, TX (3 take Medicaid)

Accepts Medicare Accepts Medicaid 132 certified beds For profit

CMS certification number 676426 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Legend Oaks Healthcare and Rehabilitation - Fort Wellness a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Legend Oaks Healthcare and Rehabilitation - Fort Wellness as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8. Inspectors issued 26 citations in the last three years. CMS imposed 6 penalties, including $71,764 in fines, in that time. For short-term rehab patients CMS rates quality 2 out of 5; for long-term residents, 5 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.29 hours per resident per day at Legend Oaks Healthcare and Rehabilitation - Fort Wellness, about the same as the Texas median of 3.30 (US median: 3.72). About 0.38 of those hours are from registered nurses. On weekends it falls to 2.85 hours, 13% below its all-week average. 70.3% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.

Nursing care per resident per day 3.29 hours
About the Texas median Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.38 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.85 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 70.3% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 68.8% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds132
Residents per day 108 About 81% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceJune 2017
Part of a chainThe Ensign Group
Legal business nameEASTLAND MEMORIAL HOSPITAL DISTRICT
Located in a hospitalYes

Paying for care at Legend Oaks Healthcare and Rehabilitation - Fort Wellness: Medicare and Medicaid

Legend Oaks Healthcare and Rehabilitation - Fort Wellness is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

This home is located in a hospital.

Health inspections

The most recent standard inspection was on March 5, 2026 and found 7 deficiencies, plus 5 from complaint inspections in the same period. In total, inspectors issued 26 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 26 citations at Legend Oaks Healthcare and Rehabilitation - Fort Wellness across 12 inspection dates, 11 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on June 13, 2026 (complaint inspection). The most common areas cited were quality of life and care (10) and nutrition and dietary (4). The most serious was cited under the CMS rule to "ensure that residents are free from significant medication errors" (tag F0760, level K, June 13, 2026). 1 citation was under CMS's abuse, neglect and exploitation rules.

June 30, 2026 · 1 citation · includes complaint inspection

DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0627 · Complaint inspection · Deficient, Provider has date of correction (Jul 1, 2026)

June 23, 2026 · 1 citation · includes complaint inspection

EHave a policy regarding use and storage of foods brought to residents by family and other visitors.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0813 · Complaint inspection · Deficient, Provider has date of correction (Jun 25, 2026)

June 13, 2026 · 1 citation, includes immediate jeopardy · includes complaint inspection

KEnsure that residents are free from significant medication errors.

Immediate jeopardy · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Deficient, Provider has date of correction (Jun 14, 2026)

April 17, 2026 · 1 citation, includes actual harm · includes complaint inspection

HEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Apr 27, 2026)

March 26, 2026 · 1 citation, includes actual harm · includes complaint inspection

GProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Actual harm · Quality of Life and Care Deficiencies · Tag F0686 · Complaint inspection · Deficient, Provider has date of correction (Apr 22, 2026)

March 5, 2026 · 7 citations

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Apr 3, 2026)

EDispose of garbage and refuse properly.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0814 · Deficient, Provider has date of correction (Apr 3, 2026)

ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Apr 3, 2026)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Apr 3, 2026)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Apr 3, 2026)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Apr 3, 2026)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Apr 3, 2026)

September 11, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection

JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Jul 29, 2025)

February 26, 2025 · 1 citation, includes actual harm · includes complaint inspection

GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Past Non-Compliance (Jan 30, 2025)

December 19, 2024 · 3 citations

DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0693 · Deficient, Provider has date of correction (Dec 20, 2024)

DProvide for the safe, appropriate administration of IV fluids for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0694 · Deficient, Provider has date of correction (Dec 20, 2024)

DProvide safe, appropriate dialysis care/services for a resident who requires such services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0698 · Deficient, Provider has date of correction (Dec 20, 2024)

October 8, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection

JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Sep 23, 2024)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Oct 10, 2024)

June 6, 2024 · 2 citations · includes complaint inspection

DReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Complaint inspection · Deficient, Provider has date of correction (Jun 30, 2024)

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Complaint inspection · Deficient, Provider has date of correction (Jun 30, 2024)

November 16, 2023 · 5 citations

EHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Deficient, Provider has date of correction (Nov 17, 2023)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Nov 17, 2023)

DReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Deficient, Provider has date of correction (Nov 17, 2023)

DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0636 · Deficient, Provider has date of correction (Nov 17, 2023)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Nov 17, 2023)

Questions to ask on a tour of Legend Oaks Healthcare and Rehabilitation - Fort Wellness

  1. Inspectors cited the home at the immediate-jeopardy level on June 13, 2026 under the rule on pharmacy service. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on February 26, 2025. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Nursing staff turnover was 70.3% a year. How many of the staff come from agencies?
  5. CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  6. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  7. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

6 penalties in the last three years, including $71,764 in fines.

DateTypeAmount or length
Jun 13, 2026 Fine $19,230
Mar 5, 2026 Fine $11,798
Mar 5, 2026 Fine $12,438
Sep 11, 2025 Fine $10,361
Feb 26, 2025 Fine $9,110
Oct 8, 2024 Fine $8,827

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 1/5 1/5 4/5
August 2026 1/5 1/5 1/5 4/5
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Location

Hospitals near Legend Oaks Healthcare and Rehabilitation - Fort Wellness

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

The Harrison at Heritage Fort Worth · 1.2 mi away ★★★☆☆ Inspection 2/5 · Staffing 3/5 120 beds · Medicaid
Heritage House at Keller Rehab & Nursing Keller · 2.6 mi away ★★★★☆ Inspection 3/5 · Staffing 2/5 120 beds · Medicaid
Green Valley Healthcare and Rehabilitation Center Fort Worth · 5.1 mi away ★★☆☆☆ Inspection 1/5 · Staffing 3/5 124 beds · Medicaid
North Pointe Nursing and Rehabilitation Watauga · 5.3 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 126 beds · Medicaid
Discovery Village at Southlake Southlake · 5.5 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 41 beds

More nursing homes near Legend Oaks Healthcare and Rehabilitation - Fort Wellness ›   All nursing homes in Keller ›

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Other The Ensign Group nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 347 The Ensign Group nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/keller/legend-oaks-healthcare-and-rehabilitation-fort-wellness/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.